Individual provider Active NPI

Alessandra Puggioni, MD

  • Specialist
  • New York, NY
National Provider Identifier
1689654113
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
307007 Issued in NY
Practice address
245 5TH Ave FL 3
C O Lina Nomad
New York, NY 10016-8278
Phone
(212) 457-1491
Fax
(469) 210-8571
NPI assigned
Jan 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 307007 NY Primary

Addresses

Primary practice location

245 5TH Ave FL 3
C O Lina Nomad
New York, NY 10016-8278

Mailing address

886 2ND Avenue
PMB 113
New York, NY 10017-2103
Phone (212) 457-1491

Other identifiers 1

IdentifierTypeStateIssuer
996473800MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
East Vein and Lymphatic Centers Inc Single Specialty CurrentSince May 1, 2022 Accepting new patients
MVC PA PLLC Single Specialty PastSince Nov 1, 2021 Accepting new patients
MMC University Vascular Surgeons Single Specialty Past Accepting new patients

Locations

886 2nd Ave
New York, NY 10017

245 5th Ave
Fl 3
New York, NY 10016
Phone (212) 302-4399

Interoperability endpoints

  • Direct secure messaging: alessandra@svs-az.direct.office.nextgen.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1689654113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "886 2ND AVENUE",
            "address_2": "PMB 113",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100172103",
            "telephone_number": "212-457-1491",
            "fax_number": "692-108-5714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 5TH AVE FL 3",
            "address_2": "C O LINA NOMAD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100168278",
            "telephone_number": "212-457-1491",
            "fax_number": "469-210-8571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGGIONI",
        "first_name": "ALESSANDRA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "307007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "996473800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.